Routine inspection·September 20, 2022

Licensed Program Analyst (LPA) Renee Campbell met with Mona Lisa Silapan Administrator #602597740 and Jenny Adoptante, Caretaker on 09/20/22 . LPA stated the purpose of the visit and began the one year required inspection at approximately 9:25 am. LPA Campbell toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms of which 6 bedrooms are available for the residents and 1 bedroom is occupied by staff. Currently, there are 5 residents. All outdoor and indoor passageways were kept free of obstruction. There were no bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 109 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/03/2022. First aid kit was observed to be complete. Fire drill was last conducted on 09/01/2022. All present staff were cleared. Of the 5 residents present, 3 files were reviewed. LPA Campbell also reviewed 2 of 5 staff files were reviewed. No citations were issued. Appeal Rights and a copy of this report provided . Because Administrator had to leave, permission was given for Bida De Vera to sign this report.